Union City Health and Rehabilitation
1630 E Reelfoot Ave, Union City, TN 38261 · Obion County · 115 certified beds · avg 69 residents/day · certified since Aug 7, 1996
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Aug 21, 2025 · F-0880
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 21, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 3, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Oct 3, 2019 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 3, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 3, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 3 | 1 | K ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,348.
| Date | Type | Amount / length |
|---|---|---|
| Aug 21, 2025 | Fine | $10,348 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.04 | 3.62 | 3.95 | bottom 18% in Tennessee; bottom 15% in the U.S. |
| Registered Nurse hours | 0.63 | 0.57 | 0.69 | top 30% in Tennessee; top 44% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.15 | 3.50 | bottom 22% in Tennessee; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.39 | 0.48 | top 30% in Tennessee; top 40% in the U.S. |
| Total nursing staff turnover (%) | 22.4 | 48.9 | 45.8 | top 1% in Tennessee; top 4% in the U.S. |
| RN turnover (%) | 16.7 | 43.2 | 42.9 | top 6% in Tennessee; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.49, RN 0.73, weekend 3.04. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rocky Top Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/12/2024 |
| Albrechtsen, Tyler | Individual | Corporate Director | NOT APPLICABLE | 08/12/2024 |
| Albrechtsen, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
| Chadwick, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Chadwick, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
| Hale, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Hale, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Thatcher, Brent | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Waters of Union City , LLC | 0.2 mi | Union City, TN | ★★★★★ | 5/5 | |
| Obion County Nursing Home | 5.0 mi | Union City, TN | ★★☆☆☆ | 2/5 | |
| Vanayer Senior Living and Rehabilitation | 10.7 mi | Martin, TN | ★★★☆☆ | 3/5 | |
| Fulton Nursing and Rehabilitation, LLC | 10.9 mi | Fulton, KY | ★☆☆☆☆ | 2/5 | |
| Diversicare of Martin | 10.9 mi | Martin, TN | ★★★★★ | 4/5 | |
| Clinton-Hickman County Nursing Facility | 17.3 mi | Clinton, KY | ★★★★☆ | 3/5 | |
| Clinton Place | 17.6 mi | Clinton, KY | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445381.